| Charleston Neurology Clinic | |
|
415 Morris St Ste 403 Charleston WV 25301-1854 | |
| (304) 344-0166 | |
| (304) 344-5105 |
| Full Name | Charleston Neurology Clinic |
|---|---|
| Speciality | Psychiatry & Neurology - Clinical Neurophysiology |
| Location | 415 Morris St Ste 403, Charleston, West Virginia |
| Authorized Official Name and Position | Syed G Kazmi (MANAGER) |
| Authorized Official Contact | 3043440166 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charleston Neurology Clinic 415 Morris St Ste 403 Charleston WV 25301-1854 Ph: (304) 344-0166 | Charleston Neurology Clinic 415 Morris St Ste 403 Charleston WV 25301-1854 Ph: (304) 344-0166 |
| NPI Number | 1740474329 |
|---|---|
| Provider Enumeration Date | 08/28/2007 |
| Last Update Date | 08/28/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740474329 | NPI | - | NPPES |
| 2004431000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0600X | Psychiatry & Neurology - Clinical Neurophysiology | 20887 (West Virginia) | Primary |
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